Prospect Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00616500 Issued in NJ

Legal business name

PROSPECT PHARMACY LLC

Practice address

214 Haledon Ave
Prospect Park, NJ 07508-2024

Phone

(973) 389-1311

Fax

(973) 389-2315

NPI assigned

Aug 8, 2006

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Naser M. Obeidallah, RPHNPI 1427068857

Title

Pharmacit in Charge

Phone

(973) 389-1311

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Naser M Obeidallah, RPH

  • Pharmacist
  • Prospect Park, NJ
  • NPI 1427068857
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1750391173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HALEDON AVE",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082024",
            "telephone_number": "973-389-1311",
            "fax_number": "973-389-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HALEDON AVE",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082024",
            "telephone_number": "973-389-1311",
            "fax_number": "973-389-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "OBEIDALLAH",
        "authorized_official_first_name": "NASER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHARMACIT IN CHARGE",
        "authorized_official_telephone_number": "973-389-1311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00616500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8956405",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "3144792",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmin Mieses, MS OTR/L
• Milliennieum Gastroenterology Inc
• New Hope Community Ministries a NJ Nonprofit Corporation
• Naser M Obeidallah, RPH
• Prospect Park Boe
• Fouad Younis Rasheed, M.D.
• Yahya F Rasheed, M.D.
• Rehabilitation Associates of Prospect Park
• Reliable Resolutions LLC
• Nicole Lynn Rosoline, LPC

• Community/Retail Pharmacy in Prospect Park, NJ
• Providers in Prospect Park, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.